Individual provider Active NPI

Mark Mathew Mauragas, D.C

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1508179185
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000784 Issued in DE
Practice address
202 Lauren CT
Wilmington, DE 19808-3635
Phone
(302) 750-8084
NPI assigned
Jul 23, 2010
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000784 DE Primary

Addresses

Primary practice location

202 Lauren CT
Wilmington, DE 19808-3635

Mailing address

202 Lauren CT
Wilmington, DE 19808-3635
Phone (302) 750-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000017 DE Practitioner - Chiropractic 1355527672 Reassigns benefits to 1 organization
Practice locations: Newark, DE; Bear, DE; Middletown, DE

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Wellness of Smyrna, LLCGroup PAC ID 0941345912, 4 clinicians

Practice addresses (Care Compare)

699 S Carter Rd
Unit 5
Smyrna, DE 19977-7754
Phone (302) 389-8915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000784DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness of Smyrna, LLC Chiropractor CurrentSince May 24, 2021 Accepting new patients
Pure Wellness of Camden, LLC Chiropractor PastSince Feb 13, 2022 Accepting new patients
Pure Wellness of Middletown, LLC Chiropractor PastSince Aug 1, 2018 Accepting new patients

Locations

1 Centurian Dr
Ste 104
Newark, DE 19713
Phone (302) 365-6520

550 Stanton Christiana Rd
Ste 302
Newark, DE 19713
Phone (302) 365-5470

699 S Carter Rd
Unit 5
Smyrna, DE 19977
Phone (302) 389-8915

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1508179185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAUREN CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083635",
            "telephone_number": "302-750-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAUREN CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083635",
            "telephone_number": "302-750-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURAGAS",
        "first_name": "MARK",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.